Stress and Health最新文献

{"title":"Joint Effects of Adverse Childhood Experiences and Genetic Burden of Depression on Multiple Depressive Symptoms.","authors":"Feng Chen, Yue Zhu, Jiajun Li, Yanggang Hong, Zhipeng Liu","doi":"10.1002/smi.70208","DOIUrl":"10.1002/smi.70208","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) and genetic burden of depression are key factors influencing depression, but their joint effects remain unclear. This study explores the joint effects on depressive symptoms and examines the mediating role of ACEs. This study was based on data from the prospective cohort Health and Retirement Study (HRS), in which 6204 adults of European ancestry aged 50 years and older were analysed. ACEs were measured using the Psychosocial and Lifestyle Questionnaire (PLQ), and genetic burden was assessed via polygenic risk scores (PRS). Depressive symptoms (total, cognitive-affective, somatic) were evaluated with the Centre for Epidemiological Studies Depression Scale (CES-D). Multivariate Cox regression models were used to assess independent and joint effects, and mediation analysis tested whether genetic burden increased depression risk through ACEs. ACEs were associated with higher risks of total (HR = 1.305, 95% CI: 1.174, 1.451), somatic (1.337, 1.206-1.482), and cognitive-affective (1.247, 1.114-1.395) depressive symptoms. Increased genetic burden was also associated with elevated risks of total (HR = 1.088, 95% CI: 1.033, 1.147) and somatic (1.089, 1.035-1.147) depressive symptoms. Compared to those with no ACEs and low genetic burden, individuals with ACEs and high genetic burden had significantly higher risks of depressive symptoms (total: 60%, somatic: 63%, cognitive-affective: 43%). ACEs mediated the link between genetic burden and somatic symptoms. Both ACEs and genetic burden of depression are associated with an increased risk of depressive symptoms, and their joint effects significantly increase the risk of all types of depressive symptoms. Furthermore, genetic burden also indirectly elevates the risk of somatic depressive symptoms by influencing ACEs.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70208"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13377672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anticipatory Cortisol Regulation During Competition in Elite Female Field Hockey Players.","authors":"Jorge García-Bastida, Manuel Jiménez, Jana Gallardo-Pérez, Iván Rivilla-Arias, Jerónimo Carmelo García-Romero, Guillermo Sánchez-Martínez","doi":"10.1002/smi.70199","DOIUrl":"10.1002/smi.70199","url":null,"abstract":"<p><p>Research examining the cortisol awakening response (CAR) in elite female athletes during official competition remains limited, particularly under ecologically valid high-stakes conditions. This study investigated associations between pre-competitive Delta CAR, competitive outcome, anxiety-related variables, and cortisol fluctuations on an official competition day among elite female field hockey players. Fifty-two elite female field hockey players participated in this study during the Spanish Championship Cup. Salivary cortisol samples were collected at awakening (C0), 30 min after awakening (C1), 30 min before warm-up (C2), and 30 min after competition (C3). CAR was calculated as the difference between C1 and C0. Athletes also completed the Self-Assessment Manikin (SAM), Likert-style affective self-reports, and the Competitive State Anxiety Inventory-2 Revised (CSAI-2). Significant within-subject cortisol fluctuations were observed across the competition day. Players who eventually lost their matches exhibited higher CAR values than those who eventually won (rank-biserial r = 0.58, p < 0.001). CAR was moderately associated with cognitive anxiety, somatic anxiety, perceived difficulty, and arousal-related variables. In addition, defeated players showed higher post-competition cortisol concentrations than winners. In an ecologically valid elite competition setting, CAR varied substantially between athletes, showed partial associations with anxiety-related and affective variables, and was associated with eventual competitive outcome. These findings suggest that CAR may reflect a context-sensitive anticipatory endocrine response associated with competitive demands rather than a deterministic biomarker of stress or performance.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70199"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13333907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biological Markers of Burnout Severity: A Systematic Review.","authors":"Maddalena Balia, Franck Zenasni, Maryne Lepoittevin, Alaedine Benani, Renzo Bianchi, Adrien Julian, Sylvain Bodard, Marie Bringer","doi":"10.1002/smi.70205","DOIUrl":"10.1002/smi.70205","url":null,"abstract":"<p><p>Burnout syndrome (BOS) represents an enduring challenge for preventive medicine. While biomarkers of chronic stress have been explored within the allostatic load framework, BOS lacks a consistent physiological signature, hindering early and comprehensive identification of individuals at risk. This systematic review synthesises current evidence on BOS-related biomarkers, aiming to identify potential physiological correlates. We conducted a comprehensive search of PubMed and EMBASE, yielding 111 studies evaluating 36 biomarkers in adult populations. Our analysis revealed inconsistent associations across most physiological systems, including the hypothalamic-pituitary-adrenal axis (e.g., cortisol, DHEA), the immune system, and cardiovascular parameters. While some biomarkers such as HbA1c and blood glucose showed relatively more consistent associations with BOS, the overall findings remain largely inconclusive. Overall, the current biological evidence is insufficient to identify a BOS biosignature that could support routine clinical diagnosis. Future research should prioritise a more unified and comprehensive definition of BOS and investigate physiological patterns within more standardized research frameworks to advance objective identification and prevention strategies.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70205"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13370058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buffering Effects of Physical Activity on Negative Life Events-Life Satisfaction Dynamics.","authors":"Daniel Groß, Jasmin Haffa, Wenke Möhring","doi":"10.1002/smi.70198","DOIUrl":"10.1002/smi.70198","url":null,"abstract":"<p><p>This study investigated whether physical activity buffers the association between negative life events and life satisfaction, distinguishing between dependent (e.g., divorce) and independent (e.g., bereavement) stressors as well as within- and between-person processes across one- and 2-year intervals (indicating short- and medium-term intervals, respectively). Data from two large panel studies (N = 98,224) were analysed. Participants were classified as high (weekly or more) versus low (less than weekly) in physical activity. Three-variable multiple-group random intercept cross-lagged panel models separated within-person dynamics from between-person associations. Dependent events predicted declines in life satisfaction across both datasets. This effect was attenuated among physically active individuals over 2-year intervals but not over 1-year intervals. Independent events showed no consistent medium-term effects on life satisfaction. However, in the 1-year interval, independent events were associated with subsequent declines in life satisfaction only among physically active individuals, whereas no association emerged among those with low physical activity. With respect to the reversed pathways, life satisfaction predicted subsequent dependent events across both groups and intervals. In contrast, higher life satisfaction was associated with a lower likelihood of subsequent independent events only among active individuals. At the between-person level, buffering effects emerged only for the 2-year association between independent events and life satisfaction. Physical activity is not a uniform buffering factor but relates to stress-well-being dynamics in a manner that depends on stressor type, temporal scale, and analysis level. Effects are conditional and context-specific rather than broadly protective.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70198"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"War-Related Posttraumatic Stress Symptoms During the First Two Postpartum Years: The Moderating Role of Childhood Adversity.","authors":"Miriam Chasson, Ayelet David, Dana Shai, Jessica L Borelli","doi":"10.1002/smi.70216","DOIUrl":"10.1002/smi.70216","url":null,"abstract":"<p><p>Early motherhood is a sensitive period marked by increased psychological vulnerability, potentially impacting child developmental trajectories. While childhood adversity and war-related trauma are known as risk factors for psychopathology, little is known about their combined impact on posttraumatic stress symptoms (PTSS) during the first 2 years of motherhood. Grounded in stress sensitisation, this two-wave study examined how childhood adverse experiences (ACEs) and childhood war-related insecurity moderate the prospective association between contemporary cumulative war exposure and maternal PTSS. A sample of 394 Israeli mothers was assessed at two time points during the Israel-Hamas war: T1 (5 months post-outbreak) and T2 (14 months later). Participants were categorised into a four-group typology based on developmental history: No adversity, ACEs only, Childhood war-related insecurity only, and Combined (ACEs + Childhood war-related insecurity). High symptom stability was observed, yet mothers in the Combined group exhibited the highest clinical risk, with 41.7% meeting the PTSD threshold at T2. Additionally, childhood adversity moderated the link between contemporary cumulative war exposure and PTSS at T2. Contemporary cumulative war exposure was associated with a steeper increase in PTSS primarily among mothers in the Combined group, supporting the stress sensitisation model. Mothers with a dual history of interpersonal adversity and childhood war-related insecurity appeared particularly sensitised to renewed threats. These results highlight the necessity of trauma-informed care and screening to support maternal and infant well-being in conflict zones.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70216"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13500927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cumulative Adverse Childhood Experiences and Multiple Neurodevelopmental Disorders in Children and Adolescents: A Population-Based Study.","authors":"Jialing Lin, James G Scott, Valsamma Eapen, Kannan Kallapiran, Peri O'Shea, Divna Haslam, Sisira Edirippulige, Patricia M Davidson","doi":"10.1002/smi.70202","DOIUrl":"10.1002/smi.70202","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) and neurodevelopmental disorders (NDDs) are frequent yet the relationship between cumulative ACEs and multiple NDDs remains poorly understood. Using data from 120,629 children aged 3-17 years in the 2021-2023 US National Survey of Children's Health, we examined associations between ACEs and multiple NDDs, defined as the presence of ≥ 2 NDDs. Logistic regression, adjusted for sociodemographic and health covariates, estimated associations for ACEs treated as a continuous variable and as categorical groups (0, 1, 2, and ≥ 3 ACEs). We also assessed associations for common NDD combinations and individual ACE. The prevalence of multiple NDDs increased with the number of ACEs: 4.5% (95% confidence interval [CI]: 4.2-4.8) for 0 ACE, 8.4% (95% CI: 7.7-9.1) for 1 ACE, 11.9% (95% CI: 10.7-13.2) for 2 ACEs, and 17.8% (95% CI: 16.5-19.2) for ≥ 3 ACEs. Each additional ACE was associated with 13% higher odds of multiple NDDs (adjusted odds ratio [aOR] = 1.13, 95% CI: 1.09-1.17). Compared with no ACE, the odds of multiple NDDs were higher for 1 ACE (aOR = 1.48, 95% CI: 1.30-1.68), 2 ACEs (aOR = 1.78, 95% CI: 1.52-2.09), and ≥ 3 ACEs (aOR = 1.91, 95% CI: 1.62-2.26). Associations were consistent across three NDD combinations. Individually, health- or disability-related mistreatment, household mental illness, and economic hardship showed significant associations. Cumulative ACEs are associated with a greater likelihood of multiple NDDs, suggesting future research, health policy, system and service planning require coordinated responses that account for the diverse adversities experienced by many families and children.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70202"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13338645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Emotional Entitlement, Gratitude, and Social Support in Psychological Adjustment During Radiotherapy: A Longitudinal Study.","authors":"Roni Laslo-Roth, Sivan George-Levi, Lior Elimelech, Yael Galin Loncich, Nirit Wiskop-Farkash, Myriam Sultan, Eli Sapir","doi":"10.1002/smi.70207","DOIUrl":"10.1002/smi.70207","url":null,"abstract":"<p><p>A cancer diagnosis is frequently accompanied by significant psychological distress, particularly during radiotherapy (RT). Given that many established risk factors for distress are largely immutable, identifying resilience resources that promote adjustment during RT is a central clinical priority. The present longitudinal study examined whether emotional entitlement, gratitude, and perceived social support predict end-of-treatment anxiety, depression, and life satisfaction beyond baseline psychological status. Participants were 146 cancer patients undergoing RT (Mean age = 56.17 years, SD = 11.65; 89.9% female). Data were collected at three time points across the RT regimen: at the pre-treatment RT simulation session, during the first RT session, and at treatment completion, approximately 3-6 weeks later. Measures included anxiety and depression symptoms, life satisfaction, emotional entitlement, gratitude, and perceived social support. Results indicated that anxiety decreased and life satisfaction increased from baseline to treatment completion, whereas depressive symptoms remained stable over time. Hierarchical regression analyses were performed to predict post-treatment outcomes while controlling baseline levels of the respective variables. Across all models, baseline psychological status emerged as a robust predictor of end-of-treatment outcomes. However, resilience resources contributed additional explanatory power for depression and life satisfaction. Higher emotional entitlement to positive emotions predicted greater life satisfaction and lower depressive symptoms, whereas reduced perceived friend support was associated with higher depression. Unexpectedly, higher gratitude was associated with lower life satisfaction at treatment completion. In contrast, anxiety was predicted exclusively by baseline anxiety. These findings suggest distinct predictive patterns across psychological outcomes during RT. Whereas end-of-treatment anxiety was predicted primarily by initial anxiety levels, depression and life satisfaction were also associated with modifiable emotional and interpersonal resources. The results underscore the importance of early psychological screening and targeted psychosocial interventions aimed at strengthening emotional resources and peer support during radiotherapy.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 4","pages":"e70207"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LMX Ambivalence and Social Cyberloafing: The Mediating Role of Emotional Exhaustion and the Moderating Role of Grandiose Narcissism.","authors":"Lu Wu, Yimo Shen, Yixin Zhu","doi":"10.1002/smi.70192","DOIUrl":"https://doi.org/10.1002/smi.70192","url":null,"abstract":"<p><p>Drawing on conservation of resources theory and hierometer theory, this study examines how and for whom leader-member exchange (LMX) ambivalence is associated with social cyberloafing. We propose that LMX ambivalence is linked to emotional exhaustion through a resource-depletion logic, and that emotional exhaustion, in turn, is associated with social cyberloafing as a comparatively accessible and socioemotionally oriented response. We further theorise that this indirect process is stronger among employees high in grandiose narcissism, who attach greater status value to leader-member relationships. Using a three-wave field survey and a vignette-based experiment, we test the proposed model in the field and provide experimental evidence for the upstream effect of LMX ambivalence on emotional exhaustion. The findings suggest that LMX ambivalence can function as a relational stressor rooted in conflicted exchange perceptions and identify grandiose narcissism as a key boundary condition. This research contributes to the literature on leadership, relational ambivalence, and digital responses.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70192"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Posttraumatic Stress and Cigarette Smoking From an Ethnicity and Gender Perspective: Findings From a Longitudinal Study of U.S. Adolescents.","authors":"Johan Isaksson, Mary Schwab-Seligman, Vladislav Ruchkin","doi":"10.1002/smi.70191","DOIUrl":"10.1002/smi.70191","url":null,"abstract":"<p><p>Smoking represents a significant public health problem and exploring the factors that may influence its development in youth is of major importance. The research on adolescent populations that addresses the impact of posttraumatic stress on smoking over time, especially using ethnicity and gender perspectives, remains limited. The study was conducted on a representative sample of predominantly ethnic minority youth (N = 2596; 53.5% female; age 11-16 years old (M(SD) = 12.75(1.27)); 58.8% African-American, 25.5% Hispanic American, 13.6% White). Self-reported information was obtained on smoking, symptoms of posttraumatic stress and depression in year 1 and on smoking in year 2. Generalised Linear Models were used to explore the association between posttraumatic stress in year 1 and smoking in year two in youth from the different ethnic groups, while controlling for their baseline levels of smoking, depressive symptoms, age and socio-economic status. Posttraumatic stress was related to smoking one year later, and the association remained significant while also adjusting for the baseline variables. Sensitivity analyses indicated that the association was primarily driven by smoking frequency rather than smoking quantity. The association between posttraumatic stress and smoking did not differ by gender or ethnicity, although more females than males reported smoking both at baseline and one year later, and fewer African American adolescents reported smoking, as compared to White and Hispanic American adolescents. The findings emphasize the importance of the timely recognition of traumatic exposure and may inform targeted prevention and early interventions.</p>","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70191"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13277632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Adjustment to Disease and Treatment: Commentary on Dekker (2024).","authors":"Natasha Seaton, Madison Milne-Ives, Hannah Proudfoot, Christina Joanne Pearce","doi":"10.1002/smi.70190","DOIUrl":"10.1002/smi.70190","url":null,"abstract":"","PeriodicalId":51175,"journal":{"name":"Stress and Health","volume":"42 3","pages":"e70190"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13276435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}